[The interpretation of 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer]
- PMID: 28441815
- DOI: 10.3760/cma.j.issn.1673-0860.2017.04.018
[The interpretation of 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer]
Abstract
The prevalence of thyroid nodules, especially differentiated thyroid cancer, has increased during the past decades. With the consideration of increasing prevalence of the diseases, American Thyroid Association (ATA) updated the guidelines for adult patients with thyroid nodules and differentiated thyroid carcinoma (DTC) in 2015. The aim of the new guidelines was to minimize potential harm from overtreatment in majority of patients at low risk for diseasespecific mortality and morbidity while appropriately treat and monitor those patients at higher risk. The updates of contents in new ATA guidelines are interpreted in this article, including the contents about screening, diagnosis and treatment plan of nodules, initial surgical treatment of DTC, the evaluation and treatment of DTC after surgery, follow-up and diagnosis and treatment of recurrence, persistence, and distant metastasis of DTC.
甲状腺结节特别是分化型甲状腺癌(differentiated thyroid carcinoma，DTC)近年来呈高发趋势。随着患者数量以及相关研究的增加，2015年美国甲状腺协会(American Thyroid Association，ATA)更新了甲状腺结节与DTC治疗指南。指南中明确提出其主要目标是：减小对大多数与疾病相关的死亡、复发的风险，并降低对患者的过度治疗带来的潜在危害，而给予高危险患者恰当的治疗和监控。本文对2015年ATA《成人甲状腺结节与分化型甲状腺癌诊治指南》做一解读，主要内容包括：甲状腺结节的筛查、诊断与治疗计划，分化型甲状腺癌的初始外科治疗，分化型甲状腺癌手术后的评估与治疗，分化型甲状腺癌的随访，以及病灶复发/持续存在、远处转移的诊治。.
Keywords: Practice guidelines; Thyroid neoplasms; Thyroid nodules.
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